Essay On Motivational Interviewing

*For the purpose of this assignment and to keep the privacy of participates, the interviewee will be addressed as such, or as Person A.

This paper explores the “Spirit” of Motivational Interviewing (MI) as a class activity. Using a real life example (my daughter’s participation as a high school basketball athlete) as a case study to dissect, I attempted to apply what I’ve learned this week in order to help my daughter overcome a self-defeated attitude that has reduced her confidence and motivation to play basketball and also participate in her true passion, theater (drama) performances. My objective was to apply, through empathic and reflective communication, fundamental principles of motivational interviewing (MI) to help guide her toward autonomous motivation.

Once Mr Brown’s personal adult learning characteristics and learning style is established, the appropriate education strategies can be chosen and utilised. Motivational interviewing is a client-centered counseling style in which patients are helped to explore and to resolve ambivalence toward behavior change

During this essay I will critique my video in terms of Motivational Interviewing. For the purpose of this essay the patient who is being interviewed is Mary. Mary is middle aged woman who was admitted 3 days previously for uncontrolled diabetes. During her admission it was noted that she had high levels of alcohol intake for the past three years. In this interview I aim to bring a change to her level of alcohol consumption through Motivational Interviewing.

The clinical question being asked is; If primary care providers use motivational interviewing techniques to counsel pediatric patients during office visits, will patients be motivated to make lifestyle changes that will result is weight loss and decrease body mass index (BMI). Primary care providers will be educated on the benefits and the cost effectiveness of motivational interviewing. The primary care providers will also be provided with MI training prior to the implementation of the intervention. In addition to the MI training they will also have access to a MI coach who they can contact through telephone throughout project.

"Motivational interviewing is an evidenced-based counseling approach that health care providers can use to help patients adhere to treatment recommendations. It emphasizes using a directive, patient-centered style of interaction to promote behavioral change by helping patients explore and resolve ambivalence" (Levensky et al., 2007). Motivational interviewing is a highly individualized therapeutic approach that is client centered and encourages clients to explore the reasons for any maladaptive behavior and then make changes. However, it is also a directed form of therapy, so that the counselor takes a more active role than in some forms of client-centered therapy. However, it is not a confrontational form of therapy; rather than engaging in hostile interactions with clients, the counselor takes an empathic approach and helps the client identify areas of ambivalence and make plans to change those areas. In this way, motivational interviewing can be considered a goal-directed therapy because it is not sufficient for the clients to gain understanding; they are also meant to make changes based on what they find. Furthermore, while the counselor may take a passive role in some therapeutic approaches, the counselor is more active in motivational interviewing. The counselor's job is to encourage the client to make changes.

Case manager has been working with Ms. Tabitha, who has one child by the name of Michelle, currently 25 years of age, and two deceased twin daughters, as well. Tabitha was diagnosed with having an anxiety disorder, and is taking medication’s to help with her anxiety. Recently, Tabitha failed her housekeeping inspection, and has six months to improve her housekeeping situation, and if she doesn’t, will be evicted from the premises. Tabitha sought help for her situation; is receiving counseling, Motivational Interviewing, Cognitive Behavior Therapy, and she’s removing the clutter from her home, while learning new skills. The

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the

Dr. Phil’s interviewing technique from a motivational interviewing perspective is one of great controversy, as it differs highly from what empathetic conformation should be. According to Ivey & Zalaquett, 2015, empathetic conformation is an influencing skill that invites clients to examine their stories for possible conflicts within their verbal and non-verbal communication, expressed behavior, or conflict with others. Through this, if done effectively, confrontation leads clients to new ways of thinking or increased intentionality (Ivey & Zalaquett, 2015). However this cannot be conducted by confronting the client with direct and harsh challenge, as it is a gentle skill that promotes the client to examine oneself or the situation carefully

Motivational interviewing (MI) refers to a counseling approach in part developed by clinical psychologists Professor William R Miller, Ph.D. and Professor Stephen Rollnick, Ph.D. Motivational Interviewing is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. It is a goal-oriented, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. It is focused and goal-directed (Miller & Rollnick, 2012).

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

The idea of motivational interviewing builds on Rogers' theories about people having freedom of choice and changing through the process of self-actualisation (Davidson, 1994). Miller and Rollnik (1991) describe it as a technique in which the heath practitioner becomes a helper in the change process while expressing acceptance of their client. A central goal of motivational interviewing, says Geldard & Geldard (2012), is to help resolve the ambivalence which prevents clients from realising their personal goals and to facilitate positive change. Motivational interviewing is mostly utilised to counsel those troubled by addiction (not just substance, but also behaviours).

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

A thematic analysis of an interview was used to help students develop an understanding of the role of an RC. This role is dynamic and challenging; it offers great opportunities to grow and work in an academic team based environment that fosters constant learning. Often RCs play a significant role in the process of bringing a project from conception to completion which requires a variety of qualifications and leadership qualities. An inductive approach to this process, beginning with data collection and analysis, allowed me to consider specific aspects of the topic and progress on to more general concepts. Eventually, I was able to discover connections between existing knowledge and the data I analyzed. The finalized themes included Qualifications; Role of Team Leader; Rewards and Challenges.

When conducting an interview I carefully read the contact with other. I knew I was interviewing someone from a different culture so I had to understand the ethnic community she was from which was Hispanic. I also was very focused on the professional self-disclosure because we were talking about a lot of personal things. I tried to humanize our relationship before I asked tough questions, this helps to create a sense of bonding. I was also very careful of my communication style, I always wanted to ask her questions in a positive manner and I was always actively listening to her responses.